JEFFERSON TAYLOR GORDON M.D.
NPI 1336167816
Family Medicine in Carrollton, GA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
100 PROFESSIONAL PL, SUITE 202, CARROLLTON, GA 30117(770) 832-6861(770) 832-9432 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Taylor Gordon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON TAYLOR GORDON M.D. (NPI 1336167816) is an individual family medicine provider in Carrollton, Georgia, licensed in Georgia (033338) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1336167816
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFERSON TAYLOR GORDONCredential: M.D.
Location Address100 PROFESSIONAL PL, SUITE 202Carrollton, GA 30117-3802
Mailing Address100 Professional Pl, Suite 202Carrollton, GA 30117-3802 · (770) 832-6861 · Fax (770) 832-9432
Fax(770) 832-9432
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 4, 2012
NPI 1336167816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 033338
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 PROFESSIONAL PL, Carrollton, GA 30117

Other Identifiers 3

Medicare UPINF08950
Medicare ID-Type Unspecified08B00ZWGA
Medicaid000460996CGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jefferson Taylor Gordon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274587399
PECOS Enrollment IDI20081114000696
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
870 services426 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
520 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
262 services262 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
197 services119 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
94 services21 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
90 services73 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111320
Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers68 claims143 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers21 claims21 services$1.14 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers13 claims78 services$13.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers14 claims14 services$45.34 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers17 claims101 services$2.07 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
3 suppliers11 claims11 services$11.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
100 PROFESSIONAL PL, SUITE 303
CARROLLTON, GA 30117
Internal Medicine (Infectious Disease)
100 PROFESSIONAL PL, SUITE 301
CARROLLTON, GA 30117
Pediatrics (Developmental - Behavioral Pediatrics)
100 PROFESSIONAL PL, STE 104
CARROLLTON, GA 30117
Internal Medicine
100 PROFESSIONAL PL, SUITE 204
CARROLLTON, GA 30117
Psychiatry & Neurology (Psychiatry)
100 PROFESSIONAL PL, 303
CARROLLTON, GA 30117
Family Medicine
100 PROFESSIONAL PL, SUITE 202
CARROLLTON, GA 30117
Pharmacy (Community/Retail Pharmacy)
100 PROFESSIONAL PL, SUITE 101
CARROLLTON, GA 30117
Counselor (Professional)
100 PROFESSIONAL PL, SUITE 104
CARROLLTON, GA 30117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Gordon's NPI number?

The NPI number for Jefferson Gordon is 1336167816. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Jefferson Gordon located?

Jefferson Gordon practices at 100 Professional Pl Suite 202, Carrollton, GA 30117. The listed phone number is (770) 832-6861.

What is Jefferson Gordon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jefferson Gordon enrolled in Medicare?

Yes. Jefferson Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jefferson Gordon accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Jefferson Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jefferson Gordon affiliated with any hospitals?

According to CMS data, Jefferson Gordon is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica and Higgins General Hospital.

When was this NPI record last updated?

The NPPES record for Jefferson Gordon was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.